The most recent inspection on May 29, 2025, found no deficiencies during a complaint investigation. Earlier inspections also generally found no rule violations, with multiple complaint investigations resulting in no citations. Prior deficiencies mainly involved resident care issues, such as inadequate supervision leading to elopement, medication management, and failure to notify family members of changes in residents’ conditions. There were substantiated complaints related to physical abuse and oversight failures in 2019, but enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows improvement over time, with recent investigations consistently finding no deficiencies.
Deficiencies (last 7 years)
Deficiencies (over 7 years)3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this visit was to investigate intake #GA50002957 through an unannounced onsite visit conducted on 2025-05-28 and completed on 2025-05-29.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA50002957; no rule violations found.
The purpose of this visit was to conduct the annual inspection of Antebellum Arlington Place.
Findings
The facility failed to ensure that a menu was written and posted in the memory care unit, and failed to obtain a satisfactory records check determination prior to an employee serving in the position.
Severity Breakdown
D: 2
Deficiencies (2)
Description
Severity
Facility failed to ensure that a menu was written and posted in the memory care unit.
D
Facility failed to ensure that the home obtained a satisfactory records check determination prior to serving as an employee.
D
Report Facts
Date of survey completed: Oct 29, 2021Date of on-site visit: Oct 28, 2021Staff hire date: Sep 21, 2021
The purpose of this visit was to investigate intake #GA00198981 regarding an elopement incident involving Resident #1.
Findings
The facility failed to provide adequate oversight and supervision for Resident #1 who eloped from the facility on 8/16/19 and was found by law enforcement approximately 3 miles away. The facility also failed to report the elopement incident to the Department as required by law. Staff responsible for oversight were terminated.
Complaint Details
The investigation was triggered by intake #GA00198981 concerning Resident #1's elopement on 8/16/19. The complaint was substantiated based on record review and staff interviews.
Severity Breakdown
D: 2J: 2
Deficiencies (4)
Description
Severity
Governing body failed to provide oversight necessary to ensure compliance with applicable requirements related to Resident #1's elopement.
D
Facility failed to ensure residents were supervised consistent with their needs, resulting in Resident #1 eloping.
J
Facility failed to ensure each resident received adequate and appropriate care and services, as Resident #1 eloped twice and was not placed in Memory Care Unit as requested.
J
Facility failed to report the initiation and discontinuation of a Mattie's call to the Department within 30 minutes as required by law.
D
Report Facts
Residents present: 44Staff on duty: 4Elopement time: 4.5Time found: 22.25Distance from facility: 3Previous elopement date: Jul 14, 2018
Employees Mentioned
Name
Title
Context
Staff A
Interviewed regarding Resident #1's elopement and facility oversight; stated Staff B and Staff C were terminated.
Staff B
Terminated for failing to provide watchful oversight for Resident #1.
Staff C
Terminated for failing to provide watchful oversight for Resident #1.
Staff D
Interviewed about medication pass and Resident #1's elopement; notified family and assisted with search.
Staff E
Informed Staff A about Resident #1 missing during medication pass.
FF
Interviewed regarding Resident #1's history of elopement and guardian's request for Memory Care Unit placement.
The purpose of this visit was to investigate intake #GA00198463 with an onsite visit conducted on 8/12/19 and inspection completed on 8/13/19.
Findings
The facility failed to ensure adequate and appropriate care for 1 of 3 residents, as urine was observed leaking from Resident #1's urinary drainage bag onto the wheelchair, and staff confirmed the bag had not been emptied appropriately.
Complaint Details
Visit was complaint-related to intake #GA00198463.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Facility failed to ensure each resident received adequate and appropriate care; urine leakage from Resident #1's urinary drainage bag was observed.
D
Employees Mentioned
Name
Title
Context
Staff E interviewed regarding urinary drainage bag leakage and care.
The purpose of this visit was to investigate intake #GA00196830.
Findings
The facility failed to ensure that only ambulatory residents capable of self-preservation with minimal assistance were admitted and retained, as evidenced by Resident #2 who required full assistance and was under hospice care but remained in the facility.
Complaint Details
Investigation of intake #GA00196830 regarding admission and retention of a non-ambulatory resident. Resident #2 was found to be unable to transfer or walk without help and was under hospice care. A 30-day notice was given for Resident #2 due to inability to meet admission criteria.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
The home admitted and retained a resident (Resident #2) who was not ambulatory and required full assistance to walk, transfer, and perform all activities of daily living, contrary to admission requirements.
D
Report Facts
Deficiencies cited: 130-day notice date: May 22, 2019
The purpose of this visit was to investigate complaint GA00193913.
Findings
The facility failed to have work performance reviews for unlicensed staff administering medications, failed to have an effective system to securely store medications, and failed to properly dispose of unused or expired medications according to guidelines.
Complaint Details
Investigation of complaint GA00193913 regarding medication administration and medication management deficiencies.
Severity Breakdown
D: 3
Deficiencies (3)
Description
Severity
Failed to have work performance reviews, including skills competency checklists, for 2 of 4 unlicensed staff performing medication administration.
D
Failed to have an effective system to manage medications including storing medications under lock and key to prevent unauthorized access.
D
Failed to properly dispose of unused or expired medications using current FDA or EPA guidelines for 7 of 11 sampled residents.
D
Report Facts
Number of unlicensed staff without work performance reviews: 2Number of residents with expired medications improperly disposed: 7Number of sampled residents: 11
Employees Mentioned
Name
Title
Context
Staff B
Unlicensed staff observed giving medications without proxy care training
Staff C
Unlicensed staff observed giving medications without proxy care training
Staff A
Interviewed regarding medication storage and expired medication management
Staff G
Responsible for stocking medications and checking expired medications; resigned 1-4-19
The purpose of this visit was to conduct a compliance inspection and investigate complaint intakes #GA00193366 and #GA00193636 with on-site visits on 12/18/18 and 1/7/19.
Findings
The facility failed to ensure staff received required training on abuse identification and reporting, failed to obtain a fingerprint background check for the director, failed to provide adequate care to Resident #7 resulting in infection, and failed to protect Resident #4 from physical abuse by staff. The facility delayed notifying law enforcement regarding abuse allegations.
Complaint Details
The investigation was triggered by complaint intakes #GA00193366 and #GA00193636 concerning abuse and inadequate care. The allegations of abuse to Resident #4 were substantiated with video evidence and staff interviews. The facility initially failed to notify law enforcement but did so after the investigation.
Severity Breakdown
SS= D: 2SS= J: 2
Deficiencies (4)
Description
Severity
Failure to ensure staff received training on identification of abuse, neglect, or exploitation and reporting requirements.
SS= D
Failure to obtain a satisfactory fingerprint records check determination prior to employment for the director.
SS= D
Failure to ensure each resident received adequate and appropriate care in compliance with laws and regulations, evidenced by Resident #7's untreated infected wound.
SS= J
Failure to ensure residents' right to be free from physical abuse, evidenced by Resident #4 being physically abused by staff and delayed law enforcement notification.
SS= J
Report Facts
Incident dates: Dec 2, 2018Incident dates: Dec 17, 2018Incident dates: Dec 4, 2018Incident dates: Jan 2, 2019Staff hire date: Oct 27, 2015Staff hire date: Oct 1, 2018
Employees Mentioned
Name
Title
Context
Staff A
Director
Failed to receive abuse training, lacked fingerprint background check, reviewed abuse video, and reported Resident #7's infection
Staff D
Involved in physical abuse of Resident #4, separated from employment for deliberate abuse
Staff B
Completed incident report on Resident #4 abuse
Staff C
Observed Resident #7's infected wound and notified family
The visit was conducted to investigate complaint #GA00182840 and to perform an annual inspection of the facility.
Findings
The facility failed to return the permit to the Department when the ownership and governing body changed, as the permit still displayed the old facility name while the entrance sign showed the new name.
Complaint Details
Complaint #GA00182840 was investigated during this visit.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Facility failed to return the permit to the Department when the ownership of the home and governing body changed.
The visit was conducted to investigate complaint numbers GA00178387 and GA00178446, with the investigation starting on 2017-08-14 and concluding on 2017-08-24.
Findings
No rule violations were cited as a result of this complaint investigation.
Complaint Details
Investigation of complaints GA00178387 and GA00178446 concluded with no rule violations cited.
The purpose of this visit was to investigate complaint #GA00178006 regarding failure to notify a resident's representative of an adverse change in the resident's physical condition.
Findings
The facility failed to notify the representative of Resident #1 about multiple skin tears observed on the resident's arms, despite documentation of the injuries and staff interviews indicating inconsistent notification practices.
Complaint Details
Complaint #GA00178006 was investigated. Staff interviews revealed that Staff E did not notify Resident #1's family about the skin tears, contradicting other staff statements and the resident's legal guardian's report.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failure to notify a resident's representative of an adverse change in a resident's physical or emotional adjustment related to skin tears.
SS= D
Employees Mentioned
Name
Title
Context
Staff E
Did not notify Resident #1 family of resident skin tears.
Staff A
Stated skin tears were documented and that Staff E notified the resident's legal guardian.
The purpose of this visit was to investigate complaint #GA00177405 regarding failure to notify a resident's representative of adverse changes in the resident's condition.
Findings
The facility failed to notify the resident's designated power of attorney of adverse changes in the resident's physical or emotional condition on multiple occasions, despite having updated power of attorney documentation. Interviews and record reviews confirmed the lack of proper notification.
Complaint Details
Complaint #GA00177405 was investigated. The complaint alleged the facility did not notify the resident's power of attorney of changes in the resident's condition. The investigation confirmed the complaint.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failure to notify a resident's representative of an adverse change in a resident's physical or emotional condition.
The visit was conducted to investigate complaints #GA00173534 and #GA001173612 with an onsite visit on 2017-04-18 and investigation completion on 2017-04-25.
Findings
The facility failed to ensure it retained only ambulatory residents capable of self-preservation with minimal assistance, specifically Resident #3 who was non-verbal and required a sitter. Additionally, the facility failed to provide adequate and appropriate care for Resident #1, who had multiple falls and was unable to assist in activities of daily living or self-preservation.
Complaint Details
The investigation was complaint-driven based on complaints #GA00173534 and #GA001173612. The findings substantiated failures related to resident care and retention criteria.
Severity Breakdown
SS= D: 2
Deficiencies (2)
Description
Severity
Facility failed to retain only ambulatory residents capable of self-preservation with minimal assistance for Resident #3.
SS= D
Facility failed to ensure each resident received adequate, appropriate care in compliance with federal and state law for Resident #1.
SS= D
Report Facts
Admission date: Mar 9, 2015Admission date: Feb 3, 2017Fall incidents: 4Investigation completion date: Apr 25, 2017
The purpose of this visit was to investigate complaint #GA00170519.
Findings
The facility failed to ensure that its house number was displayed so as to be easily visible from the street, as observed during the exterior inspection and confirmed by staff interview.
Complaint Details
Visit was complaint-related for complaint #GA00170519.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
The home must have its house number displayed so as to be easily visible from the street; no house number was observed posted outside the front of the facility.